hydrochlorothiazide-triamterene
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines(Note: “Therapeutic Interchange” should be placed in the order comments
Potassium Sparing Diuretics (as of 1/2024)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
Triamterene/HCTZ
(37.5mg/25mg)
Maxzide-25
Tablets
FORMULARY AGENT
Dyazide
Capsules
12729
1 Capsule Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablet
4813
8132
1 Tablet Daily
(75mg/50mg)
Maxzide-75
4812
8134
2 Tablets Daily
Triamterene
Dyrenium
2713
11588
50 mg Daily
2712
8131
100 mg Daily
Amiloride/HCTZ
(5mg/50mg)
Moduretic
392
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Potassium Sparing Diuretics (as of 1/2024)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Triamterene/HCTZ
(37.5mg/25mg)
Maxzide-25
Tablets
FORMULARY AGENT
Triamterene/HCTZ
(37.5mg/25mg)
Dyazide
Capsules
12729
1 Capsule Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablet
4813
8132
1 Tablet Daily
Triamterene/HCTZ
(75mg/50mg)
Maxzide-75
Tablets
4812
8134
1 Tablet Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablets
4813
8132
2 Tablets Daily
Triamterene
Dyrenium
Capsules
2713
11588
50 mg Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablet
4813
8132
1 Tablet Daily
Triamterene
Dyrenium
Capsules
2712
8131
100 mg Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablet
4813
8132
2 Tablets Daily
Amiloride/HCTZ
(5mg/50mg)
Moduretic
Tablets
392
1 Tablet Daily
Triamterene/HCTZ (37.5mg/25mg)
Tablet
4813
8132
2 Tablets Daily